title: Treatment of chronic obstruction as late complication of adjustable gastric band.
abstract: Laparoscopic adjustable gastric banding is growing in popularity in the United States. A rare late complication is obstruction at the level of the band, with concentric gastric pouch dilation. In our patient, endoscopy showed gastric pouch dilation with food impaction and a restricted outlet. We describe the combined endoscopic and laparoscopic approach for alleviation of chronic obstruction as a late complication of an adjustable gastric band. This combined approach included laparoscopic band removal and scar excision with intraoperative endoscopic dilation.
authors.affiliation: Department of Surgery, University of California, Irvine, Medical Center, Orange, California 92868, USA. kreavis@uci.edu
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Reavis
authors.forename: Marcelo W
authors.initials: MW
authors.lastname: Hinojosa
authors.forename: Brian R
authors.initials: BR
authors.lastname: Smith
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
mesh_terms: D020878:Device Removal; D016099:Endoscopy, Gastrointestinal; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D015391:Gastroplasty / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged